Test Answers on coding

CHART NOTE CC: This established patient presents to the office today with complaints of rectal bleeding and itching of 2 weeks’ duration. OBJECTIVE: This is a 50-year-old male in apparent good health. His BP is 119/78. Rectal examination showed a Grade I hemorrhoid in the 2 o’clock position approximately 2 cm across. The area around […]

Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is seen by the ED physician on duty. The physician obtains an extended HPI, an extended ROS, and a pertinent PFSH. What is the level of history? detailed These elements would be part of the ____ history: employment, education, use […]

These elements would be part of the ? history: employment, education, use of drugs. a. past b. social c. family d. any of the above b. social The level of E/M service is based on: a. documentation b. key components c. contributing factors d. all of the above d. all of the above The examination […]

SELECTION OF PRINCIPAL DIAGNOSIS The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as \”that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.\” CODES FOR SYMPTOMS,SIGNS, AND ILL-DEFINED CONDITIONS Codes for symptoms,signs and ill-defined conditions from Chapter 16 are […]

Integumentary system consist of: Skin, nails, and glands. Three layers of the skin: 1. Epidermis-outer skin. It protects the underlying skin from outside environment mentioned and contain cells that make keratin a substance that waterproof and strengthens the skin. The epidermis has cells that contains melanin, the dark pigment that give the skin it’s color. […]

a- without, not an- without, not auto- self dia- through, across dys- painful, abnormal, or difficult epi- above, upon hyper- above, excessive hypo- under, below, deficient meta- after, change neo- new pro- before sub- under, below

CMS 100 – paper claim submitted to TPP for reinbursement ( paper claim ) HIPPA x12 837 – electronic form used to send a claim ( HIPPA 837 P claim (electronic) HIPPA requires electronic transmission of claims by all providers with _________ employees. 10 or more National Uniform Claim Commitee (NUCC) – organization responsible for […]

question Abuse answer Improper billing practices that result in financial benefit to the provider but are not faudulent/ question Advanced beneficiary notice answer Written notification that must be signed by the patient or guardian prior to the provider rendering a service to a Medicare beneficiary that could be potentially denied or deemed “not medically necessary.” […]

question According to the Guidelines, which category code would you reference to report inoculations and vaccinations? answer Z23 question According to the Guidelines, this category is referenced when reporting suspected exposure to a communicable disease. answer Z20 question Can Z codes only be used in the outpatient setting? answer No question The I-10 code to […]

question acute renal failure and acute respiratory failure due to sepsis answer A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failure renal acute), J96.00 (failure, resp) question a patient with early onset Alzheimer’s progresses to combative behavior answer G30.0, F02.81 question patient with known Hepatitis B seen in the clinic complaining of joint pain, loss of […]

question closed treatment of a pelvic rim fracture; without manipulation (19) answer 27193 question open treatment of a closed traumatic anterior hip dislocation without fixation (19) answer 27253 question application of a shoulder-to-hip body cast (19) answer 29035 question closed treatment of a closed tarsal bone dislocation without anesthesia (19) answer 28540 question open treatment […]

question Coding Guidelines answer ICD-9-CM Official Guidelines for Coding and Reporting: See Appendix I on CD-ROM in textbook Chapter-specific guidelines exist for coding of neoplasms (140-239), primary and secondary sites, complications, V10 for personal history, admissions for therapy or to determine the extent of the malignancy, and sign and symptom codes Chapter-specific guidelines exist for […]

question B20, C46.0 answer The patient was admitted with Aids-related Kaposi Sarcoma of the skin question A41.02, R65.21, J96.01 answer A patient was admitted with sepsis due to MRSA with septic shock and acute respiratory failure with hypoxia question A06.4, J15.9, Y95 answer Patient was initially admitted and treated for an amebic abscess of liver. […]

question Acquired Immune Deficiency Syndrome (AIDS) answer The late stage of HIV infection, when a person’s immune system is severely damaged and has difficulty fighting diseases and certain cancers. question acute posthemorrhagic anemia answer Anemia due to acute blood loss. Reported with code D62. question anemia answer Defined as a decrease in the number of […]

question Given these choices, which code has the greatest specificity? answer 567.23 question If the pre and postoperative diagnosis are different, the preoperative diagnosis should be coded. answer False question V codes can be assigned as first-listed or secondary diagnosis. answer True question Bobby comes in to get his back-to-school vaccines. Code this with a(n): […]

question What is the code for carcinoma of the intrahepatic bile ducts? answer A. C22.1 question What code(s) should be assigned for cancer of the prostate, metastatic to the left ilium? answer D. C61, C79.51 question A patient is diagnosed with two primary lung cancers, one in the right lower lobe and the other in […]

question Tuberculosis usually occurs in populations with weaker immune systems. This would include all of the following EXCEPT ____. answer teenagers question What disease is caused by a fungus? answer Candidiasis question Clostridium difficile is often seen in ____ hospitalized patients. answer elderly question Gonococcal conjunctivitis is coded to ____. answer A54.31 question Patient has […]

question direct extension answer The invasion of adjacent sites by a malignant neoplasm question invasive answer The extension of tumor cells to other adjacent sites question metastasis answer The resulting spread of invasive tumor cells question neoplasm answer C00 – D49 …A new or abnormal growth Note – certain benign neoplasms may be found in […]

question Biliary system answer …network including the gallbladder and bile ducts question Calculus answer Histone composed of minerals that forms in an organ or duct of the body question Diverticulitis answer Inflammation of existing diverticula question Diverticulosis answer The presence of one or more diverticula of the designated site question Diverticulum answer A small pouch […]

question A patient is admitted with a left ankle fracture. The patient also has AIDS with Kaposi’s sarcoma of the skin. He had a closed reduction with internal fixation of the ankle fracture. A. 042, 176.0, 824.8, 79.16 B. 824.8, 176.0, V08, 79.16 C. 176.1, 824.8, V08, 79.16 D. 824.8, 042, 176.0, 79.16 answer D […]

question Office visit for gynecological examination including Pap smear; gynecological examination with Pap smear of the cervix. answer Answer for blank # 1: V72.31 Answer for blank # 2: 89.26 Answer for blank # 3: 91.46 question Encounter for observation of suspected malignant neoplasm of the cervix; Pap smear performed and the findings are negative. […]